Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.20 / $1,847.14 / $14,482.00	Facility		$876.20	$1,847.14	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,331.19 / $2,724.19 / $4,178.97	Facility		$2,331.19	$2,724.19	$4,178.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $876.20 / $1,282.17 / $2,052.38	Facility		$876.20	$1,282.17	$2,052.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $876.20 / $1,836.86 / $11,598.00	Facility		$876.20	$1,836.86	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $876.20 / $1,282.17 / $2,052.38	Facility		$876.20	$1,282.17	$2,052.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,797.25 / $2,189.88 / $3,269.06	Professional		$1,797.25	$2,189.88	$3,269.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $9,158.00 / $12,062.00	Facility		$5,660.81	$9,158.00	$12,062.00